<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<%@include file="../../../commons/taglib.jsp" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
    <meta charset="UTF-8">
    <title>发药管理</title>
    <link type="text/css" rel="stylesheet" href="${ctx}/static/js/bootstrap.min/css/bootstrap.min.css">
    <link type="text/css" rel="stylesheet" href="${ctx}/static/css/index0.css">
    <script type="text/javascript" src="${ctx}/static/js/jq/jquery-1.11.1.min.js"></script>
    <script type="text/javascript" src="${ctx}/static/js/bootstrap.min/js/bootstrap.min.js"></script>
</head>
<body>
 <form action="fy_admin" method="post">
<div class="body">
    <div class="top">
        <div class="left">
            <div class="dropdown">
                <button class="btn btn-default dropdown-toggle" type="button" id="dropdownMenu1" data-toggle="dropdown" aria-haspopup="true" aria-expanded="true">
                    门诊发药
                    <span class="caret"></span>
                </button>
                <ul class="dropdown-menu" aria-labelledby="dropdownMenu1">
                    <li><a href="#">门诊发药</a></li>
                    <li><a href="#">盘点发药</a></li>

                </ul>
            </div>
        </div>
        <div class="right">
            <button class="btn btn-default left">发药</button>
            <button class="btn btn-default left">退药</button>
            <button class="btn btn-default left">导出Excl</button>
            <div class="dropdown left">
                <button class="btn btn-default dropdown-toggle" type="button" id="dropdownMenu2" data-toggle="dropdown" aria-haspopup="true" aria-expanded="true">
                    打印
                    <span class="caret"></span>
                </button>
                <ul class="dropdown-menu" aria-labelledby="dropdownMenu2">
                    <li><a href="#">打印发药清单</a></li>
                    <li><a href="#">打印处方清单</a></li>
                    <li><a href="#">打印发药药签</a></li>
                </ul>
            </div>
            <button class="btn btn-default left">刷新</button>
        </div>
    </div>
    <div class="claer"></div>
    <div class="num1">
    <div class="panel panel-default w6 left">
        <div class="panel panel-body">
    <table class="table alert alert-success">
        <tr>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon1">就诊号：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon1" required="required">
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon2">病人姓名：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon2" required="required">
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon3">性别：</span>
               <select name="sex" class="input w50">
                  <option value="男">男</option>
                  <option value="女">女</option>
              </select>
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon4">年龄：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon4" required="required">
                </div>
            </td>
        </tr>
        <tr>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon5">医疗证号：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon5" required="required">
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon6">病人 I D：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon6" required="required">
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon7">处方单号：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon7" required="required">
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon8">收费类型：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon8" required="required">
                </div>
            </td>
        </tr>
        <tr>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon9">科室名称：</span>
               <select name="d_name" class="input w50">
                <c:forEach items="${d_name}" var="list">
                  <option value="${list.d_name}">${list.d_name}</option>
                  </c:forEach>
              </select>
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon10">医生姓名：</span>
                <div class="field">
             
              <select name="userName" class="input w50">
              <c:forEach items="${depotDailyService}" var="list">
                  <option value="${list.userName}">${list.userName}</option>
                  </c:forEach>
              </select>
             
          </div>
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon11">西药费：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon11" required="required">
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon12">中成药费：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon12" required="required">
                </div>
            </td>
        </tr>
        <tr>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon13">中草药费：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon13" required="required">
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon14">卫生材料：</span>
                <input type="text" class="form-control" placeholder="" aria-describedby="sizing-addon14" required="required">
                </div>
            </td>
            <td>
                <div class="input-group input-group-sm">
                <span class="input-group-addon" id="sizing-addon15">状 态：</span>
                <input type="text" class="form-control" placeholder="未发药" aria-describedby="sizing-addon15" readonly="true">
                </div>
            </td>
        </tr>
    </table>
    </div>

        <div class="dropdown">
            <button class="btn btn-default dropdown-toggle" type="button" id="dropdownMenu3" data-toggle="dropdown" aria-haspopup="true" aria-expanded="true">
                中药
                <span class="caret"></span>
            </button>
            <ul class="dropdown-menu" aria-labelledby="dropdownMenu3">
                <li><a href="#">中药</a></li>
                <li><a href="#">西药</a></li>
            </ul>
        </div>
        <div class="panel">
            <div class="panel-body">
                <table class="table">
                    <tr>
                        <th><input class="checkbox" type="checkbox"></th>
                        <th>组号</th>
                        <th>序号</th>
                        <th>药品名称</th>
                        <th>药品规格</th>
                        <th>单位</th>
                        <th>总量</th>
                        <th>用量</th>
                        <th>用法</th>
                        <th>间隔</th>
                        <th>天数</th>
                        <th>单价</th>
                        <th>总金额</th>
                    </tr>
                    <tr>
                        <td><input class="checkbox" type="checkbox"></td>
                        <td>M1703020001</td>
                        <td>病人</td>
                        <td>1</td>
                    </tr>
                </table>
                <nav aria-label="Page navigation">
                    <ul class="pagination">
                        <li>
                            <a href="#" aria-label="Previous">
                                <span aria-hidden="true">&laquo;</span>
                            </a>
                        </li>
                        <li><a href="#">1</a></li>
                        <li><a href="#">2</a></li>
                        <li><a href="#">3</a></li>
                        <li><a href="#">4</a></li>
                        <li><a href="#">5</a></li>
                        <li>
                            <a href="#" aria-label="Next">
                                <span aria-hidden="true">&raquo;</span>
                            </a>
                        </li>
                    </ul>
                </nav>
            </div>
        </div>
</div>
    <div class="panel w4 left lp">
        <input class="input w-6 left">
        <button class="btn btn-default left">查询</button>
        <button class="btn btn-default left">清除</button>
        <div class="claer"></div>
        <div>
            <div class="fayao">
                <button class="btn btn-group">未发药</button>
                <button class="btn btn-group">已发药</button>
            </div>
            <div class="panel panel-danger">
                <table class="table">
                    <tr>
                        <th><input class="checkbox" type="checkbox"></th>
                        <th>就诊号</th>
                        <th>病人姓名</th>
                        <th>处方单号</th>
                    </tr>
                    <tr>
                        <td><input class="checkbox" type="checkbox"></td>
                        <td>M1703020001</td>
                        <td>病人</td>
                        <td>1</td>
                    </tr>
                </table>
            </div>
        </div>
        <nav aria-label="Page navigation">
            <ul class="pagination">
                <li>
                    <a href="#" aria-label="Previous">
                        <span aria-hidden="true">&laquo;</span>
                    </a>
                </li>
                <li><a href="#">1</a></li>
                <li><a href="#">2</a></li>
                <li><a href="#">3</a></li>
                <li><a href="#">4</a></li>
                <li><a href="#">5</a></li>
                <li>
                    <a href="#" aria-label="Next">
                        <span aria-hidden="true">&raquo;</span>
                    </a>
                </li>
            </ul>
        </nav>
    </div>
</div>
</div>
</form>
</body>
</html>